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I 813-780-0020 - <br /> City of Zephyrhilis Perm it:Appticatiori Fax-813-780-0021.'': ��"�>����°� °��' <br /> Building Department: . <br /> Date Received Phone Contact for Permitting — <br /> l <br /> Owner's Name 1.1r LL Owner Phone Number <br /> Owner's Address (/ ' p '�� `rO Owner Phone Number- <br /> Owner Phone Number <br /> JOB ADDRESS D � � G - LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN 0 = DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = . FRAME = STEEL <br /> DESCRIPTION OF WORK C flD C_r /I/ / I <br /> BUILDING SIZE SO FOOTAGE�� HEIGHT F <br /> =BUILDING Is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS [>—;g ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE fe 7��� REGISTERED Y/ N J FEE CURREN <br /> Address �G�i� D/d` `�!/ �' Y 'C !. /hG'ry License# 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN Y/N <br /> Address License# I i T^ I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN ' Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE _ __ REGISTERED Y/ N FEE CURREN Y=N <br /> Address - License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# I —i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wJ Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />